Orthopaedic implants and methods for making the same

ABSTRACT

Orthopaedic implants, orthopaedic implant sets, and/or methods for making the same. Aspects and embodiments of the present invention may include orthopaedic implants having an elongated insertion region including proximal, distal, and transition portions, wherein at least portions of at least one face each of the proximal and transition portions are defined by spaced apart constant radii of curvature. The same or other aspects and embodiments may include sets of orthopaedic implants in which proximal portions of the implants grow at different rates than distal portions of the implants. The same or other aspects and embodiments may include methods for making implants and/or sets of implants by studying the geometries of differently sized bony anatomies.

RELATED APPLICATIONS

This document claims the benefit of U.S. Provisional Application Ser. No. 60/679,283, entitled “Hip Femoral Implant” and filed May 9, 2005, the entire contents of which are incorporated by this reference.

RELATED FIELDS

Aspects and embodiments of the present invention relate to one or more orthopaedic implants as well as methods for making one or more orthopaedic implants.

BACKGROUND

Orthopaedic implants, such as femoral implants, tibial implants, humeral implants, or others, can be installed in or otherwise associated with the bony anatomy for treating traumatic injuries, reconstructing joint function, or for other purposes. Such implants may include an elongated insertion region, such as the stem region of a femoral hip implant, which can be at least partially inserted into the medullary canal of the proximal femur.

In some instances, the success of the orthopaedic implant may depend on how well the elongated insertion region fits into the bony anatomy. For example, with a femoral hip stem, it is important that proximal portions of the elongated insertion region fit tightly into the medullary canal, such that the stem loads proximal portions of the femur, preventing bone loss through stress shielding and/or resorption (and potentially subsequent failure of the implant). It is also important that distal portions fit snugly into the medullary canal; however, the fit should not be so tight as to prevent proximal loading.

A good fit between the orthopaedic implant and its associated bony anatomy may also help to prevent or lessen micromotion between the implant and the bone. Excessive micromotion may also lead to implant failure.

Because bone geometries vary from person to person (and may also vary with age), typical orthopaedic implants are often offered as part of a set or series of different sized implants. Typically, implant sets are created by first designing one size of implant and then scaling that implant in a proportional manner to define the geometries of the other implant sizes (e.g., increasing the width of the elongated insertion region by a uniform amount along the entire length of the stem).

Typical implant system growth does not accurately reflect the geometries of different bone sizes. Larger femurs, for example, are not simply bigger versions of smaller femurs. For instance, it has been discovered that proximal portions of the medullary canal (some or all of which may be referred to as the metaphysis) may “grow” at a greater rate than distal portions (some or all of which may be referred to as the diaphysis) as femoral size increases. Thus, femoral hip stem sets that grow the proximal portion at the same rate as the distal portion from size to size do not necessarily reflect the actual geometries of the various sizes of femurs. Thus, implant sets made in accordance with traditional methodologies may, in some cases, fit poorly when installed, and may lead to implant failure for the reasons discussed above or for other reasons.

SUMMARY

Various aspects and embodiments of the present invention may provide for orthopaedic implants that more accurately reflect the actual geometries of the various sizes of bony anatomies (such as the various sizes of femurs, tibias, humeri, or other bones).

In accordance with some embodiments, an implant may include an elongated insertion region for implanting into a medullary canal of the bony anatomy. The elongated insertion region may include a proximal portion and a distal portion. The proximal portion may be designed and may include geometries to have a desired fit in corresponding proximal portions of the medullary canal (such as, in some embodiments, the metaphysis). Similarly, the distal portion may be designed and may include geometries to have a desired fit in corresponding distal portions of the medullary canal (such as, in some embodiments, the diaphysis). In accordance with these or other embodiments, the proximal and distal portions may be connected by a transition portion (which may or may not include one or more faces defined by a constant radius of curvature) that facilitates an at least somewhat smooth transition between the proximal and distal portion geometries.

Various aspects and embodiments of the present invention may also include methodologies for making the above-described orthopaedic implants, or other orthopaedic implants. In accordance with some embodiments, such methodologies may include defining geometries for at least parts of the proximal and distal portions of a first orthopaedic implant by using data relevant to one or more bony anatomies appropriate for the general size of the first orthopaedic implant size. In accordance with these or other embodiments, such methodologies may further include defining geometries for at least parts of the proximal and distal portions of a second orthopaedic implant by using data relevant to one or more bony anatomies appropriate for the general size of the second orthopaedic implant.

Orthopaedic implants, including implant sets, created using the above methodologies, or other methodologies, in accordance with certain aspects and embodiments of the present invention, may include at least some implants that do not “grow” uniformly with respect to other implant sizes. For example, in accordance with certain aspects and embodiments of the present invention, orthopaedic implant sets may include some implant sizes in which proximal portions of the implant's elongated insertion region increases to a greater degree than distal portions of the elongated insertion region with respect to a smaller implant size.

These, and other aspects and embodiments of the present invention are described in more detail in the remainder of this document.

BRIEF DESCRIPTION OF DRAWINGS

FIG. 1 is an anterior view of an orthopaedic implant in accordance with one embodiment of the present invention.

FIG. 2 is another anterior view of the orthopaedic implant of FIG. 1, illustrating various geometries of the implant.

FIG. 3 is another anterior view of the orthopaedic implant of FIG. 1, illustrating additional geometries of the implant.

FIG. 4 is a lateral view of the orthopaedic implant of FIG. 1.

FIG. 5 is a cross-section view of the orthopaedic implant of FIG. 1.

FIG. 6 is also a cross-section view of the orthopaedic implant of FIG. 1.

FIG. 7 is also a cross-section view of the orthopaedic implant of FIG. 1.

FIG. 8 shows a template in accordance with one embodiment of the present invention.

FIG. 9 is an anterior view of the outline of an orthopaedic implant in accordance with one embodiment of the present invention.

FIG. 10 is a cross-section view of the orthopaedic implant of FIG. 9.

FIG. 11 is also a cross-section view of the orthopaedic implant of FIG. 9.

FIG. 12 is a chart plotting proximal/distal growth ratios against implant size increases for a plurality of implants in accordance with one embodiment of the present invention.

FIG. 13 is a chart providing additional information about the chart of FIG. 12.

FIG. 14 is also a chart providing additional information about the chart of FIG. 12.

FIG. 15 is also a chart providing additional information about the chart of FIG. 12.

FIG. 16 shows an anterior view of the outlines of a plurality of orthopaedic implants superimposed over one another in accordance with one embodiment of the present invention.

DETAILED DESCRIPTION OF DRAWINGS

FIG. 1 shows an orthopaedic implant 10 in accordance with certain aspects and embodiments of the present invention. As shown in FIG. 1, orthopaedic implant 10 may include an elongated insertion region 12. Elongated insertion region 12 may facilitate installing orthopaedic implant 10 in, or otherwise associating orthopaedic implant 10 with, the bony anatomy. For example, in some embodiments, elongated insertion region 12 may be at least partially inserted into a prepared or natural medullary canal of the bony anatomy.

The orthopaedic implant 10 shown in FIG. 1 is a femoral hip stem for implantation into the medullary canal of a femur. The present invention, however, is not limited to femoral hip stems. Other aspects and embodiments of the present invention may include other femoral implants (including implants for the proximal, mid, and/or distal regions of the femur), tibial implants, humeral implants, other implants for the medullary canal, or other types of orthopaedic implants for installation in or association with the bony anatomy. Thus, although the accompanying Figures and the below description illustrate a femoral hip stem embodiment, other types of implants are within the scope of the present invention.

FIGS. 1-3 schematically illustrate some of the implant's 10 geometries. In these or other embodiments, however, additional or alternative measurements and constructs may be used to define the geometries of the implant.

In the embodiments of FIG. 1, orthopaedic implant 10 defines a longitudinal axis 14. As shown, longitudinal axis 14 generally extends between an upper portion 16 and a distal tip 18 of the implant 10 and may roughly correspond to a anatomic axis of the bony anatomy for which the implant 10 is intended. It is not necessary, however, that longitudinal axis 14 extend between upper portion 16 and distal tip 18, or that longitudinal axis correspond to the bony anatomy's mechanical axis. In accordance with this or other embodiments of the present invention, orthopaedic implant 10 may define other longitudinal axes, which may or may not extend between the upper portion 16 and distal tip 18 and which may or may not extend along the mechanical axis of the bony anatomy for which the implant 10 is intended.

In the embodiments of FIG. 2, the elongated insertion region 12 is divided into a proximal portion 20, a distal portion 22, and a transition portion 24. The proximal portion 20 shown extends from an osteotomy point 26 to the proximal end of transition portion 24, the transition portion 24 shown extends from the distal end of proximal portion 20 to the proximal end of distal portion 22, and the distal portion 22 shown extends from the distal end of transition portion 24 to the implant's distal tip 18. In accordance with other aspects and embodiments of the present invention, however, the proximal, distal and transition portions (20, 22 and 24) may overlap and/or are not necessarily defined by distinct boundaries. In still other embodiments, elongated insertion region 12 does not include a transition portion 24, and the proximal portion 20 may extend up to or overlap the distal portion 22. In still other embodiments, the proximal and distal portions 20 and 22 may be reversed from the orientations shown in FIG. 2.

As discussed above, in some embodiments, the osteotomy point 26 indicates the proximal end of the proximal portion 20. The osteotomy point 26 may roughly correspond to the point where a resection plane (in this embodiment, a proximal femur resection plane) intersects the implant's medial face 28 when implanted. In other embodiments, the proximal portion 20 may be defined with respect to other structures or features of the prepared or unprepared bony anatomy and/or the implant 10 itself, and the implant 10 does not necessarily include an osteotomy point 26.

In the embodiments shown in FIG. 3, a constant radius of curvature 100 extends from center 102 and defines the curve or arc of the medial face 28 in the proximal portion 20, and a second constant radius of curvature 104 extends from center 106 and defines the curve or arc of the medial face 28 in the transition portion 24. Radii of curvature 100 and 104 may be different, or the same, lengths. In the embodiments shown in FIG. 3, centers 102 and 106 are spaced apart from one another, although, in other embodiments, they may be the same.

In accordance with some of the embodiments of the present invention, the arcs defining the medial face, including the proximal portion 20 medial face, transition portion 24 medial face, or any other portions and/or faces need not be defined by a constant radius of curvature. Instead, they can, in these or other embodiments, track parabolic paths, hyperbolic paths, elliptical sections, and/or can be any desired curved shape. Thus, the medial faces of the proximal portion 20 and the transition portion 24 (and any other portion) may be curves or arcs defined in any desired manner. For example, the medial faces of proximal and transition portions 20 and 24 may be defined by a parabolic equation or another geometric or non-geometric equation instead of comprising part of a circle. In still other embodiments, the medial faces of proximal and transition portions 20 and 24 are not subject to empirical definition by a mathematic equation.

In other embodiments, the proximal portion 20 and the transition portion 24 of the medial face 28 may be both defined by a single radius of curvature extending from a single center. In still other embodiments, the proximal portion 20, the distal portion 22, and the transition portion 24 of the medial face 28 may be all defined by a single radius of curvature extending from a single origin. In still other embodiments, neither the proximal portion 20, nor the distal portion 22, nor the transition portion 24 are defined by a constant radius of curvature.

In accordance with the embodiments illustrated in FIGS. 1-3, the proximal portion 20 may generally correspond to the metaphysis and the distal portion 22 may generally correspond to the diaphysis when the implant 10 is implanted into the femur's medullary canal. In other embodiments, the proximal portion 20, distal portion 22, and/or transition portion 24 may overlap portions of the metaphysis and/or diaphysis of the medullary canal.

In accordance with some of the aspects and embodiments of the present invention, the proximal portion 20 may be about 5 to about 55 millimeters long, the distal portion 22 may be about 5 to about 55 millimeters long, and the transition portion 24 may be about 15 to about 65 millimeters long, although in other aspects and embodiments of the present invention, some or all of these portions may have lengths falling outside these ranges. In accordance with some embodiments, the lengths of the proximal, distal, and/or transition portions may increase as the size of the implant increases.

In the embodiments shown in FIGS. 1-7, the elongated insertion region 12 generally tapers from the proximal portion 20 to the distal portion 22, in both the anterior-posterior widths as well as the medial-lateral widths. In other embodiments, elongated insertion region does not taper in one or both of the anterior-posterior and medial-lateral widths.

The tapered elongated insertion region 12 shown in FIGS. 1-7 defines a plurality of widths, including, but not limited to, proximal portion 20 widths between the medial face 28 and the lateral face 30 of the implant 10 (such as, for example, the medial-lateral proximal portion width 32 shown in FIG. 2), distal portion 22 widths between the medial and lateral faces 28 and 30 (such as, for example, the medial-lateral distal portion width 34 shown in FIG. 2), proximal portion 20 widths between the anterior face 36 and the posterior face 38 of the implant, and distal portion 22 widths between the anterior and posterior faces 36 and 38. Widths 32 and 34 are provided by way of example only. In the embodiments of FIGS. 1-7, because the elongated insertion region 12 includes curved and tapered surfaces, it defines almost an infinite number of widths in both the anterior-posterior and medial-lateral aspects.

Both the proximal widths and the distal widths may be defined in other manners in accordance with other embodiments and aspects of the present invention. For example, proximal, distal and/or transition portion widths could also be defined as the distance between a medial, lateral, anterior, posterior and/or other face of the elongated insertion region 12 and a longitudinal axis of the implant 10 (whether such axis is the longitudinal axis 14 shown in FIG. 1 or another axis).

The embodiments shown in FIGS. 5-7 illustrate portions of elongated insertion region 12 that define a generally rectangular cross section with rounded over corners. The present invention, however, is not limited to orthopaedic implants 10 with rectangular cross sections. In accordance with other aspects and embodiments, elongated insertion regions 10 may define other geometries, including, but not limited to, cylindrical regions, conical regions, fluted regions, slotted regions, and/or other shapes.

In the embodiments shown in FIGS. 1-4, portions of faces 28, 30, 36 and 38 (such as portions of the faces located in distal portion 22 of elongated insertion region 12) and/or longitudinal axis 14 define a number of angles. For instance, in the embodiments shown best in FIG. 2, the medial and lateral faces 28 and 30 of the distal portion 22 define an angle 44. As also shown in FIG. 2, the medial face 28 of the distal portion 22 and the longitudinal axis may define an angle 46. Similarly, the lateral face 30 of the distal portion 22 may define an angle 48. In these or other embodiments, other faces or surfaces of the elongated insertion region 12 may define other angles (including, but not limited to, anterior and posterior faces 36 and 38 shown in FIG. 4).

In accordance with certain aspects and embodiments of the present invention, the angle 44 between the medial and lateral faces 28 and 30 of the distal portion 22 is approximately six degrees. In these or other embodiments of the present invention the angle 44 is between approximately one and fifteen degrees. In still other embodiments, the angle 44 falls outside the aforementioned range. In some embodiments, angle 44, or other angles, may be varied in accordance with certain implant 10 designs.

As discussed above, in accordance with certain aspects and embodiments of the present invention, some or all of the portions of the elongated insertion region 12 may be shaped and/or sized to provide a desirable fit between the implant 10 and the medullary canal. Various aspects and embodiments of the present invention include methodologies for refining and/or developing implant geometries to provide such a desirable fit.

FIG. 8 illustrates one methodology for defining at least some of the geometries of the elongated insertion region 12 with some of the aspects and embodiments of the present invention. FIG. 8 shows a template 200 that may be used in conjunction with a templating study to develop and/or refine implant geometries in accordance with certain aspects and embodiments of the present invention. Template 200 may be transparent such that it may be positioned over an x-ray, fluoroscopic or other type of image of the bony anatomy and/or its associated medullary canal. The template 200 shown in FIG. 8 includes an outline of an initial implant geometry 202, from both an anterior view as well as a medial view (although both views are not necessary). In accordance with other embodiments of the present invention, template 200 may include additional or alternative views (including, but not limited to, posterior views, lateral views, and views from other angles or in other planes).

The anterior view shown in FIG. 8 includes a number of reference points (including references A thorugh H) and other constructs for indicating certain geometries and aspects of the initial implant outline. In other embodiments, template 200 may include additional or alternative references and/or constructs to indicate other geometries. As shown in FIG. 8, the template 200 may also indicate what image magnification and the relevant implant size the template 200 is intended for, although such indications are not necessary in all embodiments. The same, or additional, templates may be modified for use with other implant sizes.

Using one or more templates (such as the template 200 shown in FIG. 8), suitable geometries for one or more orthopaedic implants 10 may be defined (including, but not limited to, a set of implants including a plurality of sizes). For example, in some embodiments, one may use the template to evaluate whether the initial implant outline defines implant geometries suitable for the structures of the bony anatomy (such as the metaphysis and diaphysis of the medullary canal) shown in the images.

If the initial implant outline geometries are not suitable, it may be indicated (on the template itself, on another form, or in some other format or medium) how the initial implant outline could be modified to define a better-fitting implant. For example, if the proximal width at reference B did not indicate that such an implant would fit properly in the bony anatomy, it could be noted that reference B needs to move medially or laterally by a certain amount. By recording such discrepancies with respect to these, or other reference points or constructs, it can be recorded how the initial implant outline could be modified to define a better-fitting implant.

In accordance with certain aspects and embodiments of the present invention, the templating study process can be repeated several times with other bony anatomies of the same general size. The accumulated data may be subsequently averaged or otherwise processed to calculate or otherwise determine what changes should be made to the initial implant outline to define a better-fitting implant. In some embodiments, the data could be used to create a second initial implant outline, for a second templating study to further refine the geometries of the implant.

In accordance with some embodiments, such a templating study could be repeated numerous times for various implant and bony anatomy sizes to develop a set or series of implants.

Implant sets, in accordance with some aspects and embodiments of the present invention, do not include implants chosen from unrelated groups of implants, but rather, may include a group of implants sharing common characteristics or traits, but offered in a number of different sizes. Such common characteristics or traits may include, but are not limited to, material properties, mechanical properties, indications for use, trade name or product grouping, geometric properties (such as, but not limited to, stem shapes, neck shapes, neck offsets, etc. . . . ), features (such as, but not limited to, fluting, distal slots, presence or absence of bone in growth material, or other features), or other common characteristics or traits or combinations of characteristics or traits.

In accordance with aspects and embodiments of the present invention, methodologies other than a templating study may be used to define suitable implant 10 geometries. For example, in some embodiments, previously collected data on bony anatomy geometries (such as internal widths of various portions of the medullary canal) may be used to calculate or otherwise determine suitable geometries for portions of elongated insertion region 12. In still other embodiments, digitized images of bony anatomy can be processed, with or without the help of computer functionality, to identify suitable geometries for portions of elongated insertion region. Other methodologies may also be employed to identify suitable geometries.

In accordance with some aspects and embodiments of the present invention, data points collected in accordance with one or more of the methodologies discussed above can be used to create one or more orthopaedic implants 10 having elongated insertion regions 12 with desirable bone loading and fixation properties, a more anatomically correct geometry, and/or other desirable features. For example, in accordance with some embodiments, the collected data can be used to define geometries for proximal and distal portions 20 and 22 of the elongated insertion region 12 (such as medial/lateral widths 32 and 34) such that implantation of an appropriate sized implant 10 into the medullary canal of the bony anatomy results in desirable proximal loading of the bone while maintaining a close fit between the distal portion 22 of the elongated insertion region 12 and the corresponding distal portion of the medullary canal.

In accordance with certain aspects and embodiments of the present invention, using one or more of the methodologies discussed above, a combination of those methodologies, or other methodologies, one may define one or more geometries for use in conjunction with an orthopaedic implant 10 or a set or series of such implants 10. In some embodiments, many, if not all, of the geometries of the implant or implants may be defined using such methodologies. In other embodiments, however, in addition to the geometries defined using these methodologies, it may be necessary to develop additional geometries or use traditional geometries to provide the implant manufacturer with sufficient data to construct an implant or an implant set.

For example, in accordance with aspects and embodiments of the present invention, although one or more of the methodologies discussed above may identify geometries for medial/lateral widths 32 and 34 in the proximal and distal portions 20 and 22, it may be too time consuming, or otherwise undesirable, to use such methodologies to define every geometry necessary to construct an implant 10. It may be necessary to also define, for example, anterior/posterior widths in the proximal and distal portions, medial/lateral and/or anterior/posterior widths in the transition portion, angles between the medial face, lateral face and/or longitudinal axes, or other geometries. In such instances, traditional implant 10 geometries may be used, or other techniques may be employed, to supply various geometries not determined through one of the above described methodologies. For example, in one such embodiment, a constant radius 104 extending from center 106 may define the medial face of the transition portion 24. The length and/or center 106 of the radius 104 may be chosen such that it will define a connecting arc between the distal end of the proximal portion 20 and the proximal end of the distal portion 22. In other embodiments, such a methodology is unnecessary and transition portion 24 is either absent (e.g., the distal end of proximal portion 20 abuts the proximal end of distal portion 22) or the medial face of the transition portion 24 is defined in other ways, such as by a parabolic equation or in another manner.

In still other embodiments, the medial face in both the proximal and transition portions 20 and 24 are defined by a single constant radius extending from a center, such that the proximal portion includes the medial/lateral width or widths, defined using a templating study or other methodology but also transitions smoothly into the medial face of the distal portion. In other embodiments, one or more of the angles defined by the distal portion medial face, distal portion lateral face and/or longitudinal axis 14 (or other axes), may be defined and/or adjusted such that the transition(s) between the various portions of the elongated insertion region 12 is/are smooth.

FIGS. 9-16 illustrate a set or series of orthopaedic implants 10 created using some of the methodologies and procedures discussed above in accordance with aspects and embodiments of the present invention. In the embodiments shown in FIGS. 9-16, orthopaedic implants 10 are femoral hip stems and a templating study (using one or more templates similar to the template 200 shown in FIG. 8) was conducted to identify medial/lateral widths 32 (twenty millimeters distal to the osteotomy point 26) located in the proximal portion 20, and also medial/lateral widths 34 (eighty millimeters distal to the osteotomy point 26) located in the distal portion 22, for fifteen sizes of femoral hip stems (arbitrarily numbered 1 through 15).

As shown by the dashed line in FIGS. 12-15, some typical femoral hip stem sets grow uniformly in the proximal and distal regions from size to size (i.e. proximal growth divided by distal growth equals one). Unlike the typical femoral hip stem set illustrated in the Figures, however, the implants 10 made in accordance with embodiments of the present invention do not always grow uniformly in the proximal and distal regions from size to size (proximal growth divided by distal growth does not always equal one, although for some size increases it does). In FIGS. 12-15, the “x” column indicates the medial/lateral width 32 in proximal portion 20, the “y” column indicates the medial/lateral width 34 in distal portion 22, and the “z” column indicates length of the elongated insertion region 12.

As shown in FIGS. 12-15, growth rates do not have to have to be precisely the same to have a growth ratio of approximately 1. As one example, with reference to the embodiment of FIG. 13, the size 2 implant 10 includes a proximal portion width 32 of 19 mm (at a level about 20 millimeters distal from the osteotomy point 26 level) (which may, in some embodiments, be represented as PW1 _(20 mm)) and a distal portion width 34 of 7.4 mm (at a level about 80 millimeters distal from the osteotomy point 26 level) (which may, in some embodiments, be represented as DW1 _(80 mm)); whereas the size 3 implant 10 includes a proximal portion width 32 of 20.4 millimeters (at a level about 20 millimeters distal from the osteotomy point 26 level) (which may, in some embodiments, be represented as PW2 ^(20 mm)) and a distal portion width 34 of 8.9 millimeters (which may, in some embodiments, be represented as DW2 _(80 mm)). In this example, the difference between the proximal portion widths 32 of the size 2 and 3 implants 10 is 1.4 millimeters (which may be represented as PW2 _(20 mm)−PW1 _(20 mm)=ΔPW_(20 mm)) and the difference between the distal portion widths 34 of the size 2 and 3 implants 10 is 1.5 millimeters (which may be represented as DW2 _(80 mm)−DW1 _(80 mm)=ΔDW_(80 mm)). In this example, the growth rates with respect to the proximal and distal portions is relatively uniform. In other words, in accordance with this embodiment, ΔPW_(20 mm) (here, 1.4 millimeters) is substantially equal to ΔDW_(80 mm)(here, 1.5 millimeters) and thus the proximal to distal growth ratio shown in FIG. 13 between implant 10 sizes 2 and 3 may be plotted at substantially 1 (ΔPW_(20 mm) divided by ΔDW_(80 mm)) (in this case, about 0.93).

In accordance with the embodiment shown in FIG. 13, however, the proximal to distal growth ratio is not always substantially equal to 1, since the proximal and distal portions of the implant 10 do not always grow in a uniform manner form one size to the next. For example, the size 4 implant 10 includes a proximal portion width 32 of 21.7 millimeters (PW1 _(20 mm)=21.7) and a distal portion width 34 of 9.3 millimeters (DW1 _(80 mm)=9.3) and thus, with respect to comparing the proximal and distal growth rates of implant 10 sizes 3 and 4, ΔPW_(20 mm) equals 1.3 millimeters and ΔDW_(80 mm) equals 0.4 millimeters. In this example, the growth rates with respect to the proximal and distal portions is 3.25 and is thus not relatively uniform, (ΔPW_(20 mm) is not substantially equal to ΔDW_(80 mm) and ΔPW_(20 mm) divided by ΔDW_(80 mm) is not about 1). The above is offered as an example only, and does not define with mathematical precision the boundaries of “substantially equal.”

FIG. 16 shows the outlines of the orthopaedic implants 10 of FIGS. 9-15, shown superimposed over one another. As shown in FIG. 16, the medial faces of the various implants 10 align with one another and the “growth” of the implants 10 occurs along the lateral faces of the implants 10. Thus, although not shown in FIG. 16, a single constant radius of curvature extending from a single center may define the medial faces of the proximal portions of the implants 10 and, similarly, a single constant radius of curvature extending from a single center may define the medial faces of the transition portions of the implants 10. Also, as the implants 10 shown in FIG. 16 grow, the shoulders 56 remain substantially aligned throughout the implant's growth, which may facilitate consistency in the location of where proximal fixation occurs throughout the range of implant sizes.

Changes, modifications, additions, and/or deletions may be made to the systems, methodologies and devices described herein without departing from the spirit of the present inventions or the scope of the below claims. 

1. An elongated insertion region of an orthopaedic implant, the elongated insertion region comprising: (a) a longitudinal axis; (b) a proximal portion extending along at least a portion of the longitudinal axis, wherein at least a portion of a face of the proximal portion is defined by a first constant radius of curvature extending from a first center; (c) a distal portion extending along at least a portion of the longitudinal axis; and (d) a transition portion extending along at least a portion of the longitudinal axis between the proximal portion and the distal portion, wherein at least a portion of a face of the transition portion is defined by a second constant radius of curvature extending from a second center, wherein the first center and second center are spaced apart from one another.
 2. The elongated insertion region of claim 1, wherein the first constant radius of curvature and the second constant radius of curvature have substantially the same length.
 3. The elongated insertion region of claim 1, wherein the first constant radius of curvature and the second constant radius of curvature have at least somewhat different lengths.
 4. The elongated insertion region of claim 1, wherein the elongated insertion region is a stem region of a femoral hip implant.
 5. The elongated insertion region of claim 4, wherein the portion of the face of the proximal portion is a medial face.
 6. The elongated insertion region of claim 5, wherein the portion of the face of the transition portion is a medial face.
 7. The elongated insertion region of claim 6, wherein at least a portion of a face of the distal portion is defined by a straight line.
 8. A set of at least two orthopaedic implants, comprising: (a) a first orthopaedic implant comprising a first elongated insertion region, the first elongated insertion region comprising: (i) a first proximal portion; and (ii) a first distal portion, comprising a first distal face, a second distal face, and a first angle between the first distal face and second distal face; and (b) a second orthopaedic implant comprising a second elongated insertion region, the second elongated insertion region comprising: (i) a second proximal portion; and (ii) a second distal portion, comprising a third distal face, a fourth distal face, and a second angle between the third distal face and fourth distal face; wherein the first angle is not equal to the second angle.
 9. The set of at least two orthopaedic implants of claim 8, wherein the elongated insertion regions are stem regions of femoral hip implants.
 10. The set of at least two orthopaedic implants of claim 9, wherein the first and third distal faces are medial faces.
 11. The set of at least two orthopaedic implants of claim 10, wherein the second and fourth distal faces are lateral faces.
 12. A method for implanting a selected orthopaedic implant into a medullary canal, the medullary canal comprising a proximal portion and a portion distal to the proximal portion, the method comprising: (1) selecting an orthopaedic implant for implantation into the medullary canal from at least two orthopaedic implants, the at least two orthopaedic implants comprising: (a) a first orthopaedic implant comprising a first elongated insertion region, the first elongated insertion region comprising: (i) a first longitudinal axis; (ii) a first osteotomy point; (iii) a first proximal portion extending along at least a portion of the first longitudinal axis distally from the level of the first osteotomy point, wherein the first proximal portion comprises a first proximal portion width substantially perpendicular to the first longitudinal axis and at a level approximately 20 millimeters distal from the first osteotomy point level on the first longitudinal axis, the first proximal portion width represented as PW1 _(20 mm), wherein at least part of the first proximal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the proximal portion of the medullary canal; and (iv) a first distal portion extending along at least a portion of the first longitudinal axis to a first tip, wherein the first distal portion comprises a first distal portion width substantially perpendicular to the first longitudinal axis and at a level approximately 80 millimeters distally from the level of the first osteotomy point on the first longitudinal axis, the first distal portion width represented as DW1 _(80 mm), and wherein at least part of the first distal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the portion distal to the proximal portion of the medullary canal; (b) a second orthopaedic implant comprising a second elongated insertion region, the second elongated insertion region comprising: (i) a second longitudinal axis; (ii) a second osteotomy point; (iii) a second proximal portion extending along at least a portion of the second longitudinal axis distally from the level of the second osteotomy point, wherein the second proximal portion comprises a second proximal portion width substantially perpendicular to the second longitudinal axis and at a level approximately 20 millimeters distal from the second osteotomy point level on the second longitudinal axis, the second proximal portion width represented as PW2 ^(20 mm), wherein at least part of the second proximal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the proximal portion of the medullary canal; and (iv) a second distal portion extending along at least a portion of the second longitudinal axis to a second tip, wherein the second distal portion comprises a second distal portion width substantially perpendicular to the second longitudinal axis and at a level approximately 80 millimeters distal from the level of the second osteotomy point on the second longitudinal axis, the second distal portion width represented as DW2 _(80 mm), and wherein at least part of the second distal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the portion distal to the proximal portion of the medullary canal; (c) wherein PW2 _(20 mm)−PW1 _(20 mm)=ΔPW_(20 mm); (d) wherein DW2 _(80 mm)−DW1 _(80 mm)=ΔDW_(80 mm); and (e) wherein ΔPW_(20 mm) is not substantially equal to ΔDW_(80 mm); and (2) implanting the selected orthopaedic implant.
 13. The method for implanting a selected orthopaedic implant into a medullary canal of claim 12, wherein selecting from the at least two orthopaedic implants further comprises selecting an implant that is not the first or second orthopaedic implant.
 14. The method for implanting a selected orthopaedic implant into a medullary canal of claim 13, wherein selecting from the at least two orthopaedic implants further comprises selecting a third orthopaedic implant comprising: (a) a third elongated insertion region, the third elongated insertion region comprising: (i) a third longitudinal axis; (ii) a third osteotomy point; (iii) a third proximal portion extending along at least a portion of the third longitudinal axis distally from the level of the third osteotomy point, wherein the third proximal portion comprises a third proximal portion width substantially perpendicular to the third longitudinal axis and at a level approximately 20 millimeters distal from level of the third osteotomy point on the third longitudinal axis, the third proximal portion width represented as PW3 _(20 mm), wherein at least part of the third proximal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the proximal portion of the medullary canal; and (iv) a third distal portion extending along at least a portion of the third longitudinal axis to a third tip, wherein the third distal portion comprises a third distal portion width substantially perpendicular to the third longitudinal axis and at a level approximately 80 millimeters distal from the level of the third osteotomy point on the third longitudinal axis, the third distal portion width represented as DW3 _(80 mm), and wherein at least part of the third distal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the portion distal to the proximal portion of the medullary canal; (b) wherein PW3 _(20 mm)−PW1 _(20 mm)=ΔPW(3/1)_(20 mm); (c) wherein DW3 _(80 mm)−DW1 _(80 mm)=ΔDW(3/1)_(80 mm); and (d) wherein ΔPW(3/1)_(20 mm) is substantially equal to ΔDW(3/1)_(80 mm).
 15. The method for implanting a selected orthopaedic implant into a medullary canal of claim 12, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising: (a) the first orthopaedic implant, wherein the first proximal portion width defines a width extending between medial and lateral faces of the first proximal portion, and the first distal portion width defines a width extending between medial and lateral faces of the first distal portion; and (b) the second orthopaedic implant, wherein the second proximal portion width defines a width extending between medial and lateral faces of the second proximal portion, and the second distal portion width defines a width extending between medial and lateral faces of the second distal portion.
 16. The method for implanting a selected orthopaedic implant into a medullary canal of claim 12, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising: (a) the first orthopaedic implant, wherein the first elongated insertion region further comprises a first transition portion extending along at least a portion of the first longitudinal axis between the first proximal portion and the first distal portion; and (b) the second orthopaedic implant, wherein the second elongated insertion region further comprises a second transition portion extending along at least a portion of the second longitudinal axis between the second proximal portion and the second distal portion.
 17. The method for implanting a selected orthopaedic implant into a femur of claim 16, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising: (a) the first orthopaedic implant, wherein at least one face of the first transition portion defines a first constant radius of curvature; and (b) the second orthopaedic implant, wherein at least one face of the second transition portion defines a second constant radius of curvature.
 18. The method for implanting a selected orthopaedic implant into a femur of claim 17, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising the first orthopaedic implant and the second orthopaedic implant, wherein the first constant radius of curvature and the second constant radius of curvature have substantially the same length.
 19. The method for implanting a selected orthopaedic implant into a femur of claim 18, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising: (a) the first orthopaedic implant, wherein at least one face of the first proximal portion defines a third constant radius of curvature; and (b) the second orthopaedic implant, wherein at least one face of the second proximal portion defines a fourth constant radius of curvature.
 20. The method for installing a selected orthopaedic implant into a femur of claim 19, wherein selecting from the at least two orthopaedic implants further comprises selecting from implants comprising: the first orthopaedic implant and the second orthopaedic implant, wherein the third constant radius of curvature and the fourth constant radius of curvature have substantially the same length.
 21. A method for making at least two different sizes of orthopaedic implants, the two different sizes of orthopaedic implants comprising at least a first orthopaedic implant and a second orthopaedic implant, the first orthopaedic implant comprising a first elongated insertion region comprising a first proximal portion and a first distal portion, the second orthopaedic implant comprising a second elongated insertion region comprising a second proximal portion and a second distal portion, the method comprising: (a) determining a first geometry for at least part of the first proximal portion using at least one first data point relevant to at least one first bony anatomy structure; (b) determining a second geometry for at least part of the first distal portion using at least one second data point relevant to the at least one first bony anatomy structure; (c) determining a third geometry for at least part of the second proximal portion using at least one third data point relevant to at least one second bony anatomy structure; (d) determining a fourth geometry for at least part of the second distal portion using at least one fourth data point relevant to at least one second bony anatomy structure; (e) making the first orthopaedic implant, wherein the first orthopaedic implant incorporates the first and second geometries; and making the second orthopaedic implant, wherein the second orthopaedic implant incorporates the third and fourth geometries, wherein a size difference between the third and first geometries is not substantially equal to a size difference between the fourth and second geometries.
 22. The method of claim 21, wherein determining the first geometry comprises determining a first width between a medial and lateral face of the first proximal portion; determining a second geometry comprises determining a second width between a medial and lateral face of the first distal portion; determining a third geometry comprises determining a third width between a medial and lateral face of the second proximal portion; and determining a fourth geometry comprises determining a fourth width between a medial and lateral face of the second distal portion.
 23. The method of claim 22, wherein making the first orthopaedic implant further comprises incorporating a first transition portion between the first proximal portion and the first distal portion; and wherein making the second orthopaedic implant further comprises incorporating a second transition portion between the second proximal portion and the second distal portion.
 24. The method of claim 23, wherein making the first orthopaedic implant further comprises defining the medial face of the first proximal portion as a first proximal arc using a first constant radius extending from a first center and defining a medial face of the first transition portion as a first transition arc using a second constant radius extending from a second center; and wherein making the second orthopaedic implant further comprises defining the medial face of the second proximal portion as a second proximal arc using a third constant radius extending from a third center and defining a medial face of the second transition portion as a second transition arc using a fourth constant radius extending from a fourth center.
 25. The method of claim 24, wherein using the first constant radius and using the third constant radius comprises using the first and third constant radii; wherein the first constant radius and the third constant radius have the same length and the first and third centers are the same; and wherein using the second constant radius and using the fourth constant radius comprises using the second and fourth constant radii; wherein the second constant radius and the fourth constant radius have the same length and wherein the second center and the fourth center are the same.
 26. The method of claim 24, wherein the first and second proximal portions are both between approximately 5 to 55 millimeters in length, the first and second transition portions are both between approximately 15 to 65 millimeters in length, and the first and second distal portions are both between approximately 5 to 55 millimeters in length.
 27. The method of claim 23, wherein making the first orthopaedic implant further comprises defining the medial face of the first proximal portion and defining a medial face of the first transition portion; and wherein making the second orthopaedic implant further comprises defining the medial face of the second proximal portion and defining a medial face of the second transition portion; wherein the medial face of the first proximal portion and the medial face of the second proximal portion define substantially the same shapes and wherein the medial face of the first transition portion and the medial face of the second transition portion define substantially the same shapes.
 28. The method of claim 22, wherein making the first orthopaedic implant comprises adjusting an angle between the medial and lateral faces of the first distal portion such that proximal ends of the medial and lateral faces of the first distal portion align with distal ends of the medial and lateral faces of the first proximal portion; and wherein making the second orthopaedic implant comprises adjusting an angle between the medial and lateral faces of the second distal portion such that proximal ends of the medial and lateral faces of the second distal portion align with distal ends of the medial and lateral faces of the second proximal portion.
 29. The method of claim 21, wherein determining the first and second geometries comprises using an orthopaedic implant template in connection with an image of the first bony anatomy structure.
 30. A set of orthopaedic implants, comprising: (a) a first orthopaedic implant comprising a first elongated insertion region, the first elongated insertion region comprising: (i) a first longitudinal axis; (ii) a first osteotomy point; (iii) a first proximal portion extending along at least a portion of the first longitudinal axis distally from the level of the first osteotomy point, wherein the first proximal portion comprises a first proximal portion width substantially perpendicular to the first longitudinal axis and at a level approximately 20 millimeters distal from the first osteotomy point level on the first longitudinal axis, the first proximal portion width represented as PW1 _(20 mm), wherein at least part of the first proximal portion is substantially shaped, but not necessarily sized, to correspond to a shape of a proximal portion of a medullary canal; and (iv) a first distal portion extending along at least a portion of the first longitudinal axis to a first tip, wherein the first distal portion comprises a first distal portion width substantially perpendicular to the first longitudinal axis and at a level approximately 80 millimeters distally from the level of the first osteotomy point on the first longitudinal axis, the first distal portion width represented as DW1 _(80 mm), and wherein at least part of the first distal portion is substantially shaped, but not necessarily sized, to correspond to a shape of a portion distal to the proximal portion of the medullary canal; (b) a second orthopaedic implant comprising a second elongated insertion region, the second elongated insertion region comprising: (i) a second longitudinal axis; (ii) a second osteotomy point; (iii) a second proximal portion extending along at least a portion of the second longitudinal axis distally from the level of the second osteotomy point, wherein the second proximal portion comprises a second proximal portion width substantially perpendicular to the second longitudinal axis and at a level approximately 20 millimeters distal from the second osteotomy point level on the second longitudinal axis, the second proximal portion width represented as PW2 _(20 mm), wherein at least part of the second proximal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the proximal portion of the medullary canal; and (iv) a second distal portion extending along at least a portion of the second longitudinal axis to a second tip, wherein the second distal portion comprises a second distal portion width substantially perpendicular to the second longitudinal axis and at a level approximately 80 millimeters distal from the level of the second osteotomy point on the second longitudinal axis, the second distal portion width represented as DW2 _(80 mm), and wherein at least part of the second distal portion is substantially shaped, but not necessarily sized, to correspond to a shape of the portion distal to the proximal portion of the medullary canal; (c) wherein PW2 _(20 mm)−PW1 _(20 mm)=ΔPW_(20 mm); (d) wherein DW2 _(80 mm)−DW1 _(80 mm)=ΔDW_(80 mm); and (e) wherein ΔPW_(20 mm) is not substantially equal to ΔDW_(80 mm).
 31. A set of orthopaedic implants, comprising: (a) at least a first orthopaedic implant and a second orthopaedic implant, the first orthopaedic implant comprising a first elongated insertion region comprising a first proximal portion and a first distal portion, the second orthopaedic implant comprising a second elongated insertion region comprising a second proximal portion and a second distal portion; (b) a first geometry for at least part of the first proximal portion determined using at least one first data point relevant to at least one first bony anatomy structure; (c) a second geometry for at least part of the first distal portion determined using at least one second data point relevant to the at least one first bony anatomy structure; (d) a third geometry for at least part of the second proximal portion determined using at least one third data point relevant to at least one second bony anatomy structure; and (d) a fourth geometry for at least part of the second distal portion determined using at least one fourth data point relevant to at least one second bony anatomy structure; wherein the first orthopaedic implant incorporates the first and second geometries, wherein the second orthopaedic implant incorporates the third and fourth geometries, and wherein a size difference between the third and first geometries is not substantially equal to a size difference between the fourth and second geometries.
 32. A method for making an elongated insertion region of an orthopaedic implant, comprising: (a) defining a longitudinal axis of the elongated insertion region; (b) defining a proximal portion extending along at least a portion of the longitudinal axis, wherein at least a portion of a face of the proximal portion is defined by a first constant radius of curvature extending from a first center; (c) defining a distal portion extending along at least a portion of the longitudinal axis; and (d) defining a transition portion extending along at least a portion of the longitudinal axis between the proximal portion and the distal portion, wherein at least a portion of a face of the transition portion is defined by a second constant radius of curvature extending from a second center, wherein the first center and second center are spaced apart from one another. 